CHAP. VIII. Of an Vlcer putride and breeding wormes.
WOrmes are divers times bred in ulcers, whence they are called wormie ul∣cers; the cause hereof is the too great excrementitious humidity prepa∣red * 1.1 to putrefie by unnaturall and immoderate heate. Which happens, either for that the ulcer is neglected, or else by reason of the distemper and depraved humors of all the body, or the affected part; or else for that the excre∣mentitious humor collected in the ulcer, hath not open and free passage forth; as it happens to the ulcers of the eares, nose, fundament, necke of the wombe, and lastly to all sinuous and cuniculous ulcers. Yet it doth not necessarily follow that all putrid ulcers must have wormes in them; as you may perceive by the definition of a pu∣tride ulcer which we gave you before. For the cure of such ulcers after generall meanes, the wormes must first be taken forth, then the excrementitious humor must be drawne away, whence they take their originall. Therefore you shall foment the ulcer with the ensuing decoction, which is of force to kill them; for if any labour to take forth all that are quicke he will be much deceived; for they oft times doe so te∣naciously adhere to the ulcerated part, that you cannot plucke them away without much force and paine.
℞. absinth. centaur. majoris, marrub ij, an. M. j. fiat decoctio ad lb. ss. in qu•• dissolve * 1.2 aloes ℥ss. unguenti agyptia••i ℥j. Let the ulcer be fomented and washed with this medi∣cine, and let pledgets dipped herein be put into the ulcer; or else if the ulcer be cu∣niculous or full of windings, make injection therewith which may goe into all parts thereof.
Archigenes much commends this following medicine. ℞. Cerusae, poli j montani, an. * 1.3 ℥ss. picis navalis liquidae quantum sufficit, misce in mortario pro linimento. If the putre∣faction be such that these medicines will not suffice for the amendment thereof, you must come to more powerfull, or to cauteries also, or hot Irons, or to section; yet you must still beginne with the more gentle, such as this of Galens description.
℞. cerae. ℥ij. cerusae ℥j. olei ros. ℥ij. salis amnon. ℥ss squam. aris ʒij. thur. alum. ••rug. ma∣licor. calcis vivae, an. ʒj. fiat emplastrum. Or ℞. terebinth. lotae ℥ij. cer•• albae ℥ss liquefiant simul addendo sublimati, ʒss. salis torrefacti, & vitrioli calcinati, an. ℥j. fiat mundificativum. Or you must use our Aegyptiacum alone, which hath Sublimate entring into the com∣position thereof; but in the interim the circuit of the Vlcer must be defended with refrigerating, and defensative things for feare of paine.